Panderm Nm Cream

Composition of Panderm Nm Cream

Panderm Nm Cream contains CLOBETASOL-0.05%W/W+MICONAZOLE-2%W/W+NEOMYCIN-0.5%W/W. It belongs to the Corticosteroid / calcineurin inhibitor, Antifungal and Topical antibacterial class of medicines.

Uses of Panderm Nm Cream

• This medicine is used in the treatment of eczema
• dermatitis
• psoriasis
• skin inflammation and itching
• fungal skin infection
• ringworm
• athlete's foot
• dandruff
• nail fungal infection
• skin infection
• infected wounds
• impetigo and boils.

Key benefits

• Rapid relief of itching and inflammation
• Acts where it is applied
• Acts directly on the infected skin
• Little absorption into the body
• Treats a localised infection without whole-body antibiotics

How Panderm Nm Cream works

This medicine combines 3 active ingredients: Clobetasol, Miconazole and Neomycin. Clobetasol damps down the inflammation in the skin, which relieves redness, swelling and itching. Miconazole kills the fungus on the skin by breaking down the membrane that holds its cells together. Neomycin kills the bacteria infecting the skin at the place it is applied.

How to take Panderm Nm Cream

Clean and dry the affected area, then apply a thin layer and rub it in gently. Wash your hands before and after use, unless your hands are the area being treated. This is for use on the skin only — do not swallow it. Follow the dose and the duration written on your prescription.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Apply it as soon as you remember. If it is nearly time for the next application, skip the missed one — applying extra does not make up for it.

If you take too much

An overdose of this medicine can suppress the body's own steroid production when it is used for a long time over large areas, especially in children. It is unlikely from skin use; swallowing the preparation may cause stomach upset. It is unlikely from skin use. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Panderm Nm Cream

Most side effects of Panderm Nm are mild and settle as the body adjusts. Reported side effects include:

• Burning or stinging
• Thinning of the skin
• Stretch marks
• Acne
• Change in skin colour
• Redness
• Itching
• Dryness
• Peeling

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Panderm Nm Cream

Warnings and precautions

Use it only on the area and for the number of days your doctor specified. Potent steroid creams thin the skin permanently when used for too long. Never use a potent steroid cream on the face, the groin or the underarms unless your doctor has specifically told you to — the skin there is thin and absorbs much more. Do not use it on an infection. A steroid on ringworm, impetigo or herpes makes the infection worse while hiding it. Do not use leftover cream on a new rash, and never pass it to someone else. Stop and see your doctor if the area becomes more painful, weepy or crusted. Keep applying for the full period your doctor stated, usually two to four weeks, and for a week or two after the rash has cleared. Stopping when it looks better is why ringworm keeps coming back. Apply a little beyond the visible edge of the patch — the fungus extends further than the redness. Do not use a combination cream containing a steroid on a fungal infection unless a doctor has specifically prescribed it. The steroid calms the redness while the fungus spreads underneath. See a doctor if the rash covers a large area, involves the scalp or nails, or has not improved in two weeks — these usually need tablets as well. Use it for the short course prescribed, usually about a week. Prolonged use of a topical antibiotic breeds resistant bacteria. See a doctor if the area becomes more red, swollen, painful or spreads, or if you develop a fever — a spreading skin infection needs tablets. Clean the area gently before each application. Do not use it on large raw areas or burns unless your doctor has said to.

Do not take Panderm Nm if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for untreated bacterial, fungal or viral skin infections. Not for use in or around the eyes. For external use only. Not for use in the eyes.

Interactions with other medicines

No significant interactions are expected from preparations used on the skin.

How to store Panderm Nm Cream

Store below 30°C, away from direct sunlight. Close the cap tightly after each use. Keep out of the reach of children.

Expert advice for Panderm Nm Cream

Apply a thin layer — a fingertip's worth covers an area about the size of two adult palms. Use a plain moisturiser generously alongside it; that is what keeps eczema away between flares. Ask your doctor for a written plan of how long to use it and when to step down. Keep the area clean and completely dry — fungus thrives in moisture and sweat. Wear loose cotton clothing, change it daily, and wash clothes and towels in hot water. Do not share towels, and treat affected family members at the same time. Wash your hands before and after applying, and cover the area if advised. Do not share towels or bedding while an infection is active.

Manufacturer and class

Manufacturer:

MACLEODS PHARMACEUTICALS LTD

Therapeutic class:

Topical corticosteroid, Topical antifungal and Topical antibiotic

Drug class:

Corticosteroid / calcineurin inhibitor, Antifungal and Topical antibacterial